Acute spontaneous spinal epidural hematoma: A report of two cases.
- Author:
Jung Ho SEOK
1
;
Jin Woo JEON
;
Yun Hee LIM
;
Seung Hoon WOO
;
Woo Young LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, Sanggye Paik Hospital, Seoul, Korea. sunnyrhee@paik.ac.kr
- Publication Type:Case Report
- Keywords:
Antiplatelet agent;
Spinal apoplexy;
Spontaneous spinal epidural hematoma
- MeSH:
Anticoagulants;
Decompression;
Early Diagnosis;
Hematoma;
Hematoma, Epidural, Spinal;
Laminectomy;
Neurologic Manifestations;
Paralysis;
Polymethacrylic Acids;
Rare Diseases;
Spine
- From:Anesthesia and Pain Medicine
2012;7(3):213-216
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A spontaneous spinal epidural hematoma (SSEH) is a rare disease that accompanies severe axial pain in the spine with various levels of paralysis depending on the location of the hematoma. A SSEH is mainly caused by a coagulating disorder or anticoagulants medication, while certain cases relate this disease with spinal inflammatory conditions. The early diagnosis of a SSEH is important for its treatment. Most cases with neurologic symptoms can be treated with an immediate laminectomy and decompression. If the neurologic symptom improves within 12 hours, a conservative treatment is effective; however few cases have been reported. We report this case with a review of the relevant literature.
